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Organization
BANKS DRUG LTC LLC
Active
Organization
BANKS DRUG LTC LLC
Active
Other names
BANKS DRUG LTC
Organization subpart
No
Provider details
NPI number
Authorized official
LEE BANKS (PRESIDENT)
(803) 685-5326
Entity
Organization
Contact information
Practice address
632 E MAIN ST, RIDGE SPRING, SC 29129-9139
(803) 233-3557
(803) 250-2623
Mailing address
PO BOX 308, RIDGE SPRING, SC 29129-0308
(803) 233-3557
(803) 250-2623
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
17163
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2168452
PK
—
Enumeration date
03/29/2017
Last updated
03/29/2017
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